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    題名: A study of electrical conductance of meridian in the obese during weight reduction
    作者: Weng, CS;Hung, YL;Shyu, LY
    貢獻者: 中國醫藥大學;Chung Yuan Christian Univ, Dept Biomed Engn, Chungli, Taiwan;Ming Sheng Gen Hosp, Dept Orthoped, Taoyuan, Taiwan;China Med Univ, Taichung, Taiwan
    日期: 2004
    上傳時間: 2010-09-24 13:39:43 (UTC+8)
    出版者: WORLD SCIENTIFIC PUBL CO PTE LTD
    摘要: Background: This study aimed to compare the efficacy of the right thoracoscopic (RtT) approach and the subxiphoid bilateral thoracoscopic (SxBiT) approach in performing thymectomy for myasthenia gravis. Methods: Between March 2001 and April 2003, 27 myasthenic patients were enrolled in this prospective study. The operations were conducted by two surgical teams in a single institute. The surgical procedures included RtT for 12 patients and SxBiT for 15 patients. The operation time, resected thymus weights, and thoracic drainage periods were compared. Results: Subxiphoid video-assisted thoracoscopic extended thymectomy (SxVATET) and right-side thoracoscopic extended thymectomy (RtVATET) were performed for 27 consecutive myasthenic patients. The mean operation time, weights of resected specimens, and duration of hospital stay for the SxVATET and RtVATET groups were, respectively, 151.3 min (range, 120-200 min) versus 191.5 min (range, 120-225 min) (p=0.0012), 73.3 g (range, 40-90 g) versus 50.8 g (range, 5-90 g) (p=0.0029), and 3.1 days (range, 2-4 days) versus 3.8 days (range, 2-4 days) (p=0.914). Ten patients (37%) had complete remission, observed during a mean follow-up period of 18.5 months (range, 6-30 months). Conclusions: During this consecutive experience, both the RtT and SxBiT approaches showed satisfactory results for nonthymomatous myasthenic patients. However, a better view of the bilateral pleural cavities and more radical thymectomy could be achieved only by the SxBiT approach.
    關聯: AMERICAN JOURNAL OF CHINESE MEDICINE 32(3):417-425
    顯示於類別:[中國醫藥大學] 期刊論文

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